TEMPLE BAPTIST CHURCH YOUTH CAMP AUG. 8-11, 2017 Tuesday – Thursday 9am – 4:00pm | 6:30 am – 10 pm, Friday SPIRITUAL CHALLENGES ~ BOWLING ~ CRAZY GAMES ~ WALLY WORLD IN LONDON ~ CANADA’S WONDERLAND ~ AND TONS MORE! Dear Parents/Guardians, our goal is to provide one incredible week of new experiences and new friends in a fun and safe environment. Age Group: Those who are finished grade 6 – 8 may attend. Cost: $155.00 – this includes: a Camp T-shirt, all daily events and transportation to and from events.

Note: Campers will be responsible for their own extra spending money should they wish to purchase afternoon snacks and dinner at Canada’s Wonderland, etc. Transportation: There will be no bus pick up for campers. Campers will travel by bus to and from daily activities. Registration Process: Return completed for to: Temple Baptist Church, 1410 Quinn Drive, Sarnia, ON N7S 6M8 *Only 50 spots are available, once these 50 spots are taken you will be waitlisted. All who register will receive a letter just before camp, listing what to bring and some information to help prepare for camp. ------YOUTH CAMP 2017 APPLICATION August 8-11

Name of Camper: Address: ______City: ______Postal Code: **Email: ______Church Affiliation: ** Camp letter will be sent to the above email

Sex: M/F (circle) Date of Birth: (M/D/Y) / / Grade just completed:

T-Shirt Size: Adult – Small  Medium  Large  Extra-Large 

Medical or behavioral problems, allergies or medication required: No  Yes  (specify on back) I hereby give permission for the above child to participate in all YOUTH CAMP activities and to receive emergency medical treatment if necessary. I release Temple Baptist Church and all youth camp leaders and helpers from liability.

Name of Parents/Guardian (please print) Home Phone # Work # Cell# Health Card # Parents/Guardian Signature In case of emergency, when the above cannot be contacted, please contact: Name Phone # Relation to Camper Name of a friend you’d like to have on your team: ______Permission to take pictures of your children during activities? No  Yes 

Basic Rate: $150 Method of Payment: Cheque  Cash  Debit  Late Fee: ____ Processed by: ______Total: $______Processed on: ______

*A late registration fee of $10 will be charged within 7 days of camp. A $40 cancellation fee will be charged for cancelling prior to the week of camp. There will be no refunds issued thereafter*